摘要
目的回顾性收集分析优化护理监测方案对于帕金森病(PD)患者药物疗效波动管理中的临床应用意义,为提升疗效稳定性给出循证参考。方法采用回顾性研究设计,回顾性分析2024年1月1日至2024年12月31日期间收治的100例帕金森病患者的病历资料,按患者接受的护理监测方案分为观察组与对照组,每组各50例。对照组采用常规护理监测方案,观察组在此基础上实施优化护理监测方案,包括药效记录量表的应用、个体化服药时间调整、非运动症状动态观察和家庭护理指导等。回顾性分析两组比较药效波动频率、生活质量评分(PDQ-39)和患者满意度。结果回顾性分析发现,观察组药效波动发生率显著低于对照组(24.0%vs.46.0%,P<0.05);生活质量评分改善幅度优于对照组(PDQ-39总分下降12.6±3.1vs.6.3±2.9,P<0.01);患者满意度明显高于对照组(92.0%vs.76.0%,P<0.05)。结论经优化的护理监测方案可有效抑制帕金森病患者药物疗效的波动现象,提高生活质量及护理满意水平,值得在临床护理当中推广施行。
Objective To retrospectively collect and analyse the clinical application significance of optimised nursing monitoring protocols in the management of drug efficacy fluctuations in Parkinson's disease(PD)patients,and to provide evidence-based references for improving efficacy stability.Method A retrospective study design was employed to retrospectively analyse the medical records of 100 PD patients admitted between 1 January 2024 and 31 December 2024.Patients were divided into an observation group and a control group based on the nursing monitoring protocols they received,with 50 patients in each group.The control group received conventional nursing monitoring,while the observation group implemented an optimised nursing monitoring scheme,including the use of a medication efficacy recording scale,individualised adjustment of medication timing,dynamic observation of non-motor symptoms,and home care guidance.The two groups were retrospectively analysed for medication efficacy fluctuation frequency,quality of life scores(PDQ-39),and patient satisfaction.Result Retrospective analysis revealed that the incidence of drug efficacy fluctuations was significantly lower in the observation group than in the control group(24.0%vs.46.0%,P<0.05);the improvement in quality of life scores was superior to that in the control group(PDQ-39 total score decreased by 12.6±3.1 vs.6.3±2.9,P<0.01);patient satisfaction was significantly higher than that in the control group(92.0%vs.76.0%,P<0.05).Conclusion An optimised nursing monitoring programme can effectively suppress drug efficacy fluctuations in Parkinson's disease patients,improve quality of life and nursing satisfaction levels,and is worthy of promotion and implementation in clinical nursing.
作者
麻群群
Qunqun Ma(Wenzhou People's Hospital,Wenzhou,Zhejiang 325000)
出处
《医学研究前沿》
2025年第6期82-84,共3页
Frontiers of Medical Research
关键词
帕金森病
疗效波动
护理监测
生活质量
护理优化
Parkinson's disease
efficacy fluctuations
nursing monitoring
quality of life
nursing optimisation
